(H) for MUCOM 48

* هذني الملخصات مال فسلجه عملي سويتهن الي وجبت خوش درجه علرغم اسئلتنا جانت صعبه بس اني ما مسؤول اذا اكو خطأ او نقص🤝 بقه ال crainal nerve *

Examination of cranial nerve☝️ CN 1 CN 3,4,6 CN 5 CN 7 CN 9,10 CN 11 CN 12

All of rule 1-N*10000 2-N*50 3-F=c*9/5+32 4-blood pressure =systolic /diastolic 5-pulse rate=systolic_diastolic 6-mean arterial pressure =diastolic +1/3pulse 7_arterial blood pressure =co*HR Rrthym regular=300/large square Irregular=20*R in 15 large square I+III=II Hand grib: Diastolic during hand_diastolic before hand VMI=maximum systolic after relase strain -in strain Postrual=systolic lying_systolic standing Deep breath =hr in inspiriton=HR_expirition Valsalva ration =longenst R-Rafter/shortest in Maximum heart rate In male 220-age Female=226-age Target *0.5lowest 0.85 maximum V=d/D

All instruments of exam :RBC 1-neubauar chamber 2- RBC piptte 3-hayem solution WBC: 1-neubaur chamber 2-truk soulation 3-WBC piptte PCV : 1-microhemocrit centfigue device 2-capillary have heparin 3-plastic seal 4-reader ESR: Westergren Rack Clotting : Capillary blue ring Stop watch Bleeding : Circular filter paper Blood banking: C.P.D Temperature: Thermometer 1-mercury 2-electrical 3-infrred(tympanic-temporal) 4_band Blood pressure: Sphymanometer Stethoscope Sympathetic : Hand grib QSAR Excercise :bicycle ergometer Sensory: Gauze Tuning fork Pin Motor: Hammer reflex Gag reflex: Tongue blade Optic : snelles chart Ishihara chart Perimeter Vestibulocochlear : Tuning fork

All test of exam : 1-RBC test 2-WBC test 3–pcv test 4_ESR test 5-clotting test 6-ivy 7_duke 8-hess 9-blood group test 10-temperature by oral -axilla-rectum -groin -tympanic 11-BP Sympathetic 12-hand grip 13-Bp respond valsalva manoeuvre 14-Bp respone by standing 15-cold pressor 16-sweat response Parasympathetic 17-HR in deep breath 18-HR in response by standing 19 _HR respone by valsalva 20-effect exercise Sensory (dorsal) 21-light touch 22-vibrations 23-properioception 24-Romberg test 25-two point discremtion 26-double simultaneous stimulation 27-sternognosis 28-graphesthesia Antero lateral 29-pain 30_temperature Motor test 31-biceps 32-triceps 3-brachioradials 34-pataller 35 -achills Reflex 36 -planter reflex 37_corneal reflex 38 -pupillary reflex 39-Abdominal reflex 40_anal reflex 41-cremastric 42-accommodation Cerebellum 43-finger to nose 44-heel to knee 45-repeat movement (didochokinase) 46-assist gait Crainal nerve 47-olfactory test 48-occulmotor 49-trochlear 50-abducent 51-trigeminal motor 52-trigemial sensory 54-facial motor 55_facial sensory 56-gag reflex 57_said AH 58 -trpizeus test 59_sternocledomastoid test 60-jaw jerk reflex 61-hypoglossus motor 62-snellen test 63-Rinne test 64-weber test

Facial : upper motor neuron contralateral Lower motor neuron ipsilateral Hypoglossus :upper motor no effect Lower cause deviation to side effect Uvula deviate normal side

بعد بي حجي بس هنا بوكتها تعبت فشلون مجان

Cerebellum: past pointing : over shoot of target and may also tremor approach finger Diadochkinesia:ability to repeat movement patient with cerebellar ataxia walks with a wide-based gait. The feet are very far apart as the patient staggers from side to side. patient with sensory ataxia has a high- stepping gait. Such a person slaps the feet down firmly, as if unsure of their location الباقي هذني المقاطع والصور وأسماء التيست

: sensory aim: 1—determined lesion 2—impaired in modality 1—Light touch : radial —ulnar —median (important one) Use gauze Defect in dorsal coloumn 2—vibrations: instrument tuning fork in 128HZ 3_properioception:sense position 4_Roumberg test : close eye and make toe and heel touch earth Examiner stay in aside of patient Not for cerebral because cerebral can’t properiception when eye open or close Ataxia:inability to cordinition the position of head and trunk and limb Three type Vestibule:head tilt lesion in same side Cerebral:dysmetria Properciption :defect in dorsal colum the head not involved tremor or tilt 4_synthetic test: for assossaited area of sensory in parietal lobe 1_two point discrimination : ability to different between two stimuli Finger tip:2-3mm Mouth:1mm Back:40-60mm Toes:4-8mm 2-double stimtaneous stimuli: extinction:failure to detect stimuli in the presence of another stimulus 3-stergnosis:ability to identify object place in hand 4-graphestias:ability to identified number of word written in palm All of sensory paitens close of eye Spinothalmic : 1-pain: Pain calcification: Analgesia:no pain Hypoalgesia:decreased pain Hyperalgesia:excess of pain Parsthesia:abnormal sensation precervied without any specific stimuli Dysesthesia:pain sensation elicited by non painful cutaneous like light الاسئله تجي شنو نوع التيست وشنو ال defect الي صاير وكل الصور الي بالملزمه مهمه

Parasympathetic nervous system test 1-HR response to deep breathing -maximum HR during inspiration_minimum HR during expiration -normal value more than 15 -abnormal less than 10 2- HR response to standing -in 15th beat (shortest R-R interval)—>tachycardia -in 30th beat (longest R-R interval)—>bradycardia -30th/15th ratio -normal value more than 1.04 -abnormal less than 1 3- HR response to Valsalva maneuver -longest R-R interval after the maneuver \shortest R-R interval during the maneuver -normal value mare than 1.21 -abnormal less than 1.10

5-sweat test such thermoregulatory وممكن يجيبون اختصار QSART quantitative sudomotor axon reflex test

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